I worked in a night-shift in a hospital for 1 year under similar circumstances. I left the position because my health was suffering due to the insomnia r/t stress, long hours and yes without breaks as well. Yes we are entitled to them but if your the only nurse on the floor how can you really take them? Your situation is not an appropriate environment for ANY nurse! I am in total agreement with Marshall1. I cant stress enough how unsafe your situation is. I have worked with 13 patients and 1 aide who without fail took their breaks but she was always within earshot incase someone coded or fell etc. If i understand correctly, you had one aide and he/she left you alone on the floor? In addition there were duties that you had to perform because she wouldn't do as you asked? IMO this aide should be reported. You should never be left on the floor alone especially with that patient acuity Yes, you have expenses. However, think about where you would be if you lost your license. Keep in mind the one that pays the ultimate price is the patient with you close behind. As Marshall1 stated, you can continue to look for other employment. While lower paying jobs may not be what you want, they may afford you the opportunity to pay your bills as you continue to look for work elsewhere. Don't misunderstand, any job where you hold peoples lives in your hands will be stressful. And, yes, that first year in nursing more-so perhaps until you find your way of doing things. Best of Luck to you.